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Assessment by a multidisciplinary team conference, particularly with a liver surgeon present, was linked to better overall survival in patients with synchronous colorectal liver metastases. Patients residing near a hospital with a hepatobiliary unit were more likely to receive liver surgery and had improved median…
ERC-related procedures before biliary tract cancer surgery increase the risk of skeletal muscle mass loss. Post-ERC complications like pancreatitis and cholangitis are independent risk factors for large muscle mass decrease. Skeletal muscle mass decreases in most patients with BTC undergoing ERC, highlighting the importance of…
Side-branch intraductal papillary mucinous neoplasms (sb-ipmns) have a low rate (15.3%) of clinically relevant progression (CR-progression), leading to invasive cancer mainly due to size increase or main-duct involvement. Patients with CR-progression benefit from timely resection, but initial size alone is not a reliable indicator for…
Total pancreatectomy with islet autotransplantation (TPIAT) outcomes in patients with chronic pancreatitis differ based on genetic or nongenetic etiology. Patients with genetic pancreatitis undergo TPIAT at a younger age and have longer symptom duration. Despite lower islet yields, they maintain metabolic function similar to nongenetic…
Textbook Outcome Score (TOPS) in pancreaticoduodenectomy for ampullary carcinoma showed a significant 1-year survival benefit, with 34.2% achieving a positive score. TOPS proved valuable in assessing hospital quality metrics and short-term survival, with a 6.3% failure-to-rescue rate. Major complications affected a quarter of patients, highlighting…
Artificial intelligence in perioperative planning and management of liver resection holds immense promise for the future of liver cancer care. AI-driven advancements enable precise tumor detection, patient-specific treatment predictions, enhanced surgical precision, streamlined patient monitoring, and accelerated research development. The integration of AI revolutionizes liver…
Minimally invasive surgery for left pancreatic resection in patients with resectable pancreatic neuroendocrine tumors reduces major complications and offers comparable long-term oncologic outcomes. A study comparing minimally invasive and open surgery showed lower rates of major morbidity, postoperative complications, and better outcomes with minimally invasive…
Reduction in muscle mass, measured through L3-CT, is common in pancreatic cancer patients undergoing surgery. Preoperative low skeletal muscle index is significantly linked to lower overall survival rates but not to other postoperative outcomes. Evaluating skeletal muscle index preoperatively could help predict patient outcomes, highlighting…
Comparing laparoscopic liver resection (LLR) and open liver resection (OLR) for nonalcoholic fatty liver disease-associated hepatocellular carcinoma (NAFLD-HCC), LLR showed lower rates of complications, blood loss, transfusion, and shorter postoperative stay. Both groups had comparable major morbidities and survival outcomes. LLR appears to be a…
High prevalence of sarcopenia and sarcopenic obesity in elderly male patients undergoing pancreatic surgery was associated with increased risk of severe postoperative complications. Visceral obesity and malnutrition did not impact outcomes significantly. Perineural invasion was common but unrelated to body composition. Findings highlight the need…
